| NPI | 1568009256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEWONNA M SMITH Owner 832-621-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QP3300X Clinic/Center Pain | |
| 315D00000X Hospice, Inpatient | |
| 332000000X Military/U.S. Coast Guard Pharmacy | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-05-05 |